Kristen A Berg, Douglas D Gunzler, Emily Miller, Margaret Boozer, Tania Serna, Jennifer L Bailit, Kavita S Arora
{"title":"降低医疗补助绝育等待期长度的影响模型：多站点队列研究。","authors":"Kristen A Berg, Douglas D Gunzler, Emily Miller, Margaret Boozer, Tania Serna, Jennifer L Bailit, Kavita S Arora","doi":"10.1016/j.contraception.2024.110531","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the impact of length of the Medicaid sterilization waiting period and postpartum permanent contraception fulfillment.</p><p><strong>Study design: </strong>Simulations from a retrospective cohort study estimating the potential increase in permanent contraception within 365 days of delivery.</p><p><strong>Results: </strong>In our sample of 2076 patients, 61% achieved permanent contraception with the current waiting period of 30 days. With the waiting period hypothetically reduced to 15, 3, 1, and 0 days, 62.9%, 63.7%, 64.5%, and 75% patients, respectively, would have achieved permanent contraception.</p><p><strong>Conclusions: </strong>As potential Medicaid sterilization policy revisions are considered, understanding the impact on fulfillment rates is critical.</p>","PeriodicalId":93955,"journal":{"name":"Contraception","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Modeling the impact of decreasing waiting period length for Medicaid sterilization: A multi-site cohort study.\",\"authors\":\"Kristen A Berg, Douglas D Gunzler, Emily Miller, Margaret Boozer, Tania Serna, Jennifer L Bailit, Kavita S Arora\",\"doi\":\"10.1016/j.contraception.2024.110531\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To evaluate the impact of length of the Medicaid sterilization waiting period and postpartum permanent contraception fulfillment.</p><p><strong>Study design: </strong>Simulations from a retrospective cohort study estimating the potential increase in permanent contraception within 365 days of delivery.</p><p><strong>Results: </strong>In our sample of 2076 patients, 61% achieved permanent contraception with the current waiting period of 30 days. With the waiting period hypothetically reduced to 15, 3, 1, and 0 days, 62.9%, 63.7%, 64.5%, and 75% patients, respectively, would have achieved permanent contraception.</p><p><strong>Conclusions: </strong>As potential Medicaid sterilization policy revisions are considered, understanding the impact on fulfillment rates is critical.</p>\",\"PeriodicalId\":93955,\"journal\":{\"name\":\"Contraception\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-11-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Contraception\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1016/j.contraception.2024.110531\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/6/21 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Contraception","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1016/j.contraception.2024.110531","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/6/21 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
Modeling the impact of decreasing waiting period length for Medicaid sterilization: A multi-site cohort study.
Objective: To evaluate the impact of length of the Medicaid sterilization waiting period and postpartum permanent contraception fulfillment.
Study design: Simulations from a retrospective cohort study estimating the potential increase in permanent contraception within 365 days of delivery.
Results: In our sample of 2076 patients, 61% achieved permanent contraception with the current waiting period of 30 days. With the waiting period hypothetically reduced to 15, 3, 1, and 0 days, 62.9%, 63.7%, 64.5%, and 75% patients, respectively, would have achieved permanent contraception.
Conclusions: As potential Medicaid sterilization policy revisions are considered, understanding the impact on fulfillment rates is critical.
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